FES for upper limb application

FES for upper limb application

Upper motor neuron lesions can impact the function of upper limbs as well as lower limbs consequently FES can be used to support those for whom this is applicable. Most commonly FES for upper limb application has been used for stroke patients who require assistance with motor control and those who suffer frequent shoulder subluxation. Working in the same way as to lower limb applicated FES devices electrodes are placed upon the targeted nerves.

What are the indications for use of a FES device for upper limbs?

There are many indications for using a FES device for upper limb application. These include:

Shoulder pain

Weakness in the arm muscles

Shoulder girdle instability

Spasticity of the arm

Reduced movement of the arm

If you are unsure if a FES device for upper limb application would be suitable for you please contact us to discuss.

What conditions are FES devices often used for?

FES devices for upper limb application are often used for the following conditions:

Shoulder subluxation

Hemiplegia

Stroke

Cerebral palsy

Parkinson’s

Multiple sclerosis

Incomplete spinal cord injury

This list of conditions is not exhaustive. If you are unsure if you would be suitable for a FES device please contact us to discuss.

What are the benefits of FES device for upper limb application?

There are many benefits that come from using a FES device for the upper limbs. These include:

Increased strength within muscles

Increased stability of shoulder joint

Increased range of motion

Reduced spasticity

Reduce pain

Improve proprioception and sensory awareness

There are many benefits using an FES device to find out more please contact us to discuss.

What types of FES devices for upper limb application are available?

Types of FES devices that may be used for upper limb application include:

Odstock Two Channel Stimulator (O2CHS)

Microstim 2V2

Odstock Two Channel Stimulator (O2CHS)

The O2CHS is a two channel FES device which enables multiple muscle groups to be targeted. This is particularly useful when stabilising the shoulder girdle due to shoulder subluxation. By placing the electrodes on different nerves the shoulder muscles can receive electrical stimulation increasing stability at all times.

Microstim 2V2

The Microstim 2V2 is a FES device designed for use in rehabilitation. The device has 10 different modes to provide different parameters suitable for different rehabilitation needs. This FES device is simple to use and is ideal for use at home as part of a rehabilitation programme.

What is the process to be receive a FES device for upper limb application?

The process to receive a FES device for upper limb application would be:

Assessment

Measuring

Fitting

Review

To establish your suitability for a FES device to support your upper limb requirements your orthotist will need to complete a thorough assessment. This will involve using a FES device to see whether your muscles and nerves respond appropriately. This will also help you to understand how it feels and whether you will be comfortable using the device. If your muscles and nerves respond well and you feel it would be a suitable device for your needs your orthotist will then explore the different devices available to you. Once your device has been selected your orthotist will make adjustments and provide you information about how to wear and use the device.

How do I arrange an assessment for a FES device for upper limb application?